Emergency Obstetric Hysterectomies at a Tertiary Referral Shri Vasantrao Naik Government Medical College and Hospital of Tribal of Yavatmal District (Maharashtra): Retrospective Critical Analysis (6 Years Study)

Abstract

ABSTRACT Objective To evaluate the demographic profile, high-risk factors, fetomaternal outcome, causes and incidence of emergency peripartum hysterectomies at tertiary referral center Government Medical College and Hospital at Yavatmal. Study design Retrospective analysis. Methodology Review of 14 case records of patient who undergone emergency peripartum hysterectomies during the year January 2007 to December 2012. Results During the study period, there were 39,612 deliveries, out of which 14 patients had undergone emergency peripartum hysterectomy (EPH), having an incidence of 0.35/1000 births. There was 1 (7.14%) maternal death and 5 (35.71%) perinatal deaths. The commonest indications noted were atonic PPH 7 (50%), morbidly adherent placenta 5 (35.71%) and rupture uterus 2 (14.28%). Five (35.71%) of these patients had not received antenatal care prior to their hospitalization. Lack of antenatal care and health education indeed a preventable factor that needs to be addressed to reduce maternal and fetal mortality and morbidity. Identification of high-risk patients, institutional deliveries by expert of risk group and early referral from peripheral health infrastructures are utmost importance in avoiding EPH and reduce maternal and fetal morbidity and mortality. Emergency obstetric hysterectomy still remains as life saving procedure which every obstetrician must be familiar with it. How to cite this article Rathod AD, Pajai SP. Emergency Obstetric Hysterectomies at a Tertiary Referral Shri Vasantrao Naik Government Medical College and Hospital of Tribal of Yavatmal District (Maharashtra): Retrospective Critical Analysis (6 Years Study). J South Asian Feder Obst Gynae 2015;7(2): 55-60.